Robert William Pretel Jr., DDS MSD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

41210 Issued in CA

Practice address

1810 Professional Dr
Sacramento, CA 95825

Phone

(916) 971-3461

Fax

(916) 973-9830

NPI assigned

Mar 26, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Previously, effective Sep 9, 2020 through Sep 9, 2026

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Capital Periodontal Group

  • Periodontics
  • Sacramento, CA
  • NPI 1568597516
  NPD (past)
• Capitol Periodontal Group

  • Periodontics
  • Elk Grove, CA
  • NPI 1063604684
  NPD (past)
• Capitol Periodontal Group

  • Periodontics
  • Roseville, CA
  • NPI 1235321852
  NPD (past)
• Capitol Periodontal Group

  • Periodontics
  • Davis, CA
  • NPI 1366908618
  NPD (past)
• Capitol Periodontal Group

  • Periodontics
  • Folsom, CA
  • NPI 1962735993
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495756800000",
    "number": "1609993229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9309 OFFICE PARK CIR",
            "address_2": "STE 120",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957588072",
            "telephone_number": "916-485-7283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 PROFESSIONAL DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95825",
            "telephone_number": "916-971-3461",
            "fax_number": "916-973-9830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRETEL",
        "first_name": "ROBERT",
        "middle_name": "WILLIAM",
        "name_suffix": "Jr.",
        "credential": "DDS MSD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2017-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "41210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ketra Preston
• Laura Preston, PA-C
• Syann Preston
• Felicia Prestwood
• Eric Matthew Preszler, LPCC
• Robert Keith Pretzlaff, M.D.
• Preventive Medicine Associates, P.C.
• Charlemagne Previlon, DRIVER
• Alysia Lee Prewitt, PTA
• Price Medical Corporation

• All providers in Sacramento, CA
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.